There are BILLIONS of reasons to fight healthcare overbilling
Million-dollar claims are more and more frequent. Outpatient procedures commonly exceed $50,000. Inpatient procedures frequently exceed $100,000. Payors and administrators lack supporting documentation to really understand the bill.
WellRithms integrates with the claims administration process to ensure that every bill is cleaned of errors, accurately priced, and consistent with the care received.
A Year
That’s the average cost of family health benefits coverage, including employee contribution.
Innovative Solutions
Experience Guaranteed Savings
WellRithms Is the Solution for Accurate Medical Claim Review and Repricing
In Network Impact
Classification, Edits, & Review™
- Network claims are reviewed line-by-line using WellRithms’ Classification, Edits, & Review (CER) system, before PPO discount is applied.
Inpatient Itemized Bill Review
- Automated Line-by-Line review. Amplifying the review process by automating data extraction from imaged itemized bills and mapping them into our system.
Out-of-Network Impact
Sustainable Claims Pricing™ (SCP)
- Revolutionizing the way out-of-network and catastrophic healthcare bills are adjudicated.
Air / Ground Ambulance Repricing
- Ensures the accuracy and integrity of medical bills before payment.
Network Replacement Impact
Next-Generation Pricing
- WellRithms transforms healthcare billing with secure, innovative pricing and unmatched protection for members and plans.
RBP Cleanup
- Ensuring disputes are resolved with accuracy and fairness, backed by full legal and financial support.
Shield Indemnification™
Guaranteeing our recommended payment amount
Shield Indemnification™ protects carriers, plans, and members from the adverse impact of litigation expenses and balance billing tactics.
We are backed by a captive insurance company that allows for the transfer of all legal and financial liability from the payor to WellRithms, thereby guaranteeing the recommended payment amount.
Featured Insights
Straightening Out “Crooked” Overbilling for Spine Surgery
Bill of the Month
When a $316,383 workers’ compensation bill arrived for examination by the WellRithms’ physician and surgeon bill reviewers, they agreed that the…
Even Doctors are Falling into this Trap
Blog
As hospital systems continue to consolidate their market power, they also continue to find new ways to over bill patients, union…
A Broken Leg that Could Break the Bank
Bill of the Month
Q: What hurts more than a procedure to repair a leg fracture that has not healed? A: The bill. Doctors…
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